Prevention of venous thromboembolic complications in obstetrics and gynecology

Abstract

Venous thromboembolic complications (VTEC) manifested as pulmonary embolism (PE) or deep vein thrombosis (DVT) are a serious and potentially fatal disease. Treatment and prevention of VTEO in obstetric practice is complicated by the need to take into account the condition of the fetus, as well as maternal risk factors in making tactical decisions. Despite the fact that the absolute VTEC indices in this population are small, obstetric-associated VTEC are an important cause of maternal morbidity and mortality. This problem is even more important in gynaecology. Based on the evidence-based medicine data and the author’s practical experience, the article presents clinical recommendations on the prevention and treatment of VTEC related to obstetric and gynaecological practices based on existing guidelines and expert opinions.

Keywords

• pregnancy
• obstetrics
• venous thromboembolism
• pulmonary embolism
• deep vein thrombosis
• prophylaxis
• anticoagulants
• zibor